Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations

Pancreatic islet transplantation is a promising option for the treatment of type 1 diabetic patients. After the successful demonstration of the Edmonton protocol, islet transplantation has advanced significantly on several fronts, including improved pancreas procurement and preservation systems. Sin...

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Main Author: Hirofumi Noguchi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2011/783168
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author Hirofumi Noguchi
author_facet Hirofumi Noguchi
author_sort Hirofumi Noguchi
collection DOAJ
description Pancreatic islet transplantation is a promising option for the treatment of type 1 diabetic patients. After the successful demonstration of the Edmonton protocol, islet transplantation has advanced significantly on several fronts, including improved pancreas procurement and preservation systems. Since we frequently use pancreata from donors after cardiac death in Japan,we have applied the in situ regional organ cooling system for pancreas procurement to reduce the warm ischemic time. To reduce the apoptosis of pancreatic tissue during cold preservation, we have applied the ductal injection of preservation solution. For pancreas preservation, we use modified Kyoto solution, which is advantageous at trypsin inhibition and less collagenase inhibition. In this paper, we show pancreas procurement and preservation in our group for islet transplantation.
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spelling doaj-art-dfca2657eac14017b5a754b5576d3bc92025-02-03T05:45:12ZengWileyJournal of Transplantation2090-00072090-00152011-01-01201110.1155/2011/783168783168Pancreas Procurement and Preservation for Islet Transplantation: Personal ConsiderationsHirofumi Noguchi0Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, JapanPancreatic islet transplantation is a promising option for the treatment of type 1 diabetic patients. After the successful demonstration of the Edmonton protocol, islet transplantation has advanced significantly on several fronts, including improved pancreas procurement and preservation systems. Since we frequently use pancreata from donors after cardiac death in Japan,we have applied the in situ regional organ cooling system for pancreas procurement to reduce the warm ischemic time. To reduce the apoptosis of pancreatic tissue during cold preservation, we have applied the ductal injection of preservation solution. For pancreas preservation, we use modified Kyoto solution, which is advantageous at trypsin inhibition and less collagenase inhibition. In this paper, we show pancreas procurement and preservation in our group for islet transplantation.http://dx.doi.org/10.1155/2011/783168
spellingShingle Hirofumi Noguchi
Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
Journal of Transplantation
title Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
title_full Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
title_fullStr Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
title_full_unstemmed Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
title_short Pancreas Procurement and Preservation for Islet Transplantation: Personal Considerations
title_sort pancreas procurement and preservation for islet transplantation personal considerations
url http://dx.doi.org/10.1155/2011/783168
work_keys_str_mv AT hirofuminoguchi pancreasprocurementandpreservationforislettransplantationpersonalconsiderations